Individual
IAN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 KENYON AVE, WAKEFIELD, RI 02879-4216
(401) 782-8000
Mailing address
240 WOODVILLE RD, ASHAWAY, RI 02804-2901
(401) 465-1064
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT03499
RI
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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